Organization Active NPI

Stephen W Kimball DC PC

  • Chiropractor
  • West Branch, MI
National Provider Identifier
1598779241
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEPHEN W KIMBALL DC PC
Practice address
203 E Houghton Ave
West Branch, MI 48661-1125
Phone
(989) 345-0070
Fax
(989) 345-6022
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laura K Kimball
Title
Office Manager Secretary
Phone
(989) 345-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

203 E Houghton Ave
West Branch, MI 48661-1125

Mailing address

203 E Houghton Ave
West Branch, MI 48661-1125
Phone (989) 345-0070

Other identifiers 1

IdentifierTypeStateIssuer
950F510060OtherBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1598779241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611125",
            "telephone_number": "989-345-0070",
            "fax_number": "989-345-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611125",
            "telephone_number": "989-345-0070",
            "fax_number": "989-345-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W KIMBALL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER SECRETARY",
        "authorized_official_telephone_number": "989-345-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F510060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.